Vestibular System - Lecture 12 Flashcards

1
Q

what is the vestibular system

A

internal system used to resolve conflict

maintenance of gaze stability

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2
Q

what does the vestibular system do

A

senses position of your head in space

generate compensatory movements of the body to prevent falls or loss of balance

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3
Q

what is the vestibular system able to detect

A

speed changes while driving, running, etc.

side to side movement

up/down movements

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4
Q

sensory conflict

A

exists b/w the 2 sensory structures

the eyes and the ears

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5
Q

what does motion sickness result from

A

conflict b/w the eyes and the ears

absence of movement

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6
Q

overview of the flow of vestibular info

A

sensory input –> CN8 –> central processor –> motor output

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7
Q

sensory input

A

vision

proprioception

somatosensory

peripheral vestibular system (labyrinth and otoliths)

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8
Q

central processor

A

vestibular nuclei
–> along with info from the cerebral cortex and cerebellum

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9
Q

motor output

A

VOR (vestibular ocular reflex)

VSR (vestibular spinal reflex - balance rxns)

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10
Q

peripheral vestibular system anatomy

A

size of a dime

3 semicircular canals

2 otolith organs in each ear

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11
Q

semicircular canals are sensitive to

A

angular velocity as the head turns and body rotation

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12
Q

what are the semicircular canals responsible for

A

compensatory eye movements required to maintain a stable gaze

VOR

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13
Q

VOR

A

vestibular ocular reflex

to maintain a stable gaze –> eye movement must occur in a direction equal and opposite to head rotation and with equal velocity

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14
Q

semicircular canal orientation

A

all canals are at 90 degree angles to each other

work in pairs

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15
Q

how do the canals work in pairs

A

anterior canal in one ear works with the posterior canal of the other ear

horizontal canals work together

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16
Q

what do the semicircular canals have connections to

A

extra ocular muscles

planes of the canals closely match the planes of extra ocular muscles

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17
Q

parts of the semicircular canals

A

ampulla

cupula

hair cells

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18
Q

ampulla

A

enlargement at the end of each semicircular canal

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19
Q

ampulla fxn

A

sensory organ of the canals

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20
Q

ampularis

A

small crest in each ampulla

21
Q

cupula

A

gelatinous mass over the crista ampularis into which hair cells project

22
Q

what occurs as the cupula bends

A

firing of the hair cells increases or decreases depending on the direction of deflection

23
Q

hair cells

A

cells location on the crista ampularis

24
Q

where do hair cells project

A

in the cupula

connect to the vestibular N (CN8)

25
endolymph
fluid that fills the cavities of the inner ear high in K+ and low in Na+
26
perilymph
fluid that surround the endolymph separated from the endolymph high Na and low K+ similar to CSF
27
endolymphatic sac
keeps fluid at constant level
28
do endolymph and perilymph ever mix
not under normal circumstances
29
hair cells --> firing rate
there is a resting firing rate of the vestibular N
30
what happens if the hair cells are bent towards the side of movement
there is excitation increase in the firing rate
31
what happens if the hair cells are bent in the opposite direction
inhibition decrease in the firing rate
32
what is firing rate dependent on
intensity and direction of head movement
33
what maintains gaze on a target when the head is moved
VOR - vestibular ocular reflex
34
what do signals from the semicircular canals cause
the eyes to move in a direction equal and opposite to the head and with the same velocity
35
what is the VOR mediated by
a reflex pathway b/w the semicircular canals and the extra ocular muscles
36
abnormal VOR
inability to focus on objects when the head moves
37
nystagmus
involuntary movement of the eye normally occurs when the head is moving or following a target
38
what does a nystagmus consist of
slow component --> when the eyes slip off a target a fast phase --> the quick correction back
39
what is the nystagmus named after
the quick phase if there is weakness on one side --> the slow component is the side of the problem
40
how is a nystagmus documented
(+) LBN (+) RBN
41
otolith
utricle saccule
42
fxn of otolith
detects linear acceleration gravity VSR - vestibular spinal reflex
43
VSR
responsible for postural adjustments needed to regain balance
44
otolith structure
macula otoconia
45
macula
hair cells covered by gel
46
otoconia
calcium carbonate crystals located on the top of the gel layer that covers the macula
47
what make the otolith responsible to gravity
weight of the crystals
48
what occurs as the head moves --> otolith
otoconia fall to one side and cause the hair cells to fire